Zelis announced on July 19 a partnership with Rectangle Health to launch the first of its kind, straight-through processing of health care and dental digital payments for health care providers.
According to a news release, the technology streamlines several separate manual steps in digital payments, including receiving virtual payments, entering card transactions into merchant processing terminals and managing patient payment. The end-to-end solution, powered by Zelis’ Advanced Payments Platform (ZAPP) and Rectangle Health’s Practice Management Bridge, automates both health care insurance payments and any out-of-pocket payments directly to providers’ existing revenue management systems.
Additionally, it enables digital payments from payers directly into providers’ accounts without any manual intervention or sharing of banking information.
This solution comes at a time when health care practices and organizations are grappling to solve staffing shortages and profitability challenges. According to the news release, a recent study found that 63% of providers are struggling with revenue cycle management staffing issues.
This solution exceeds the benefits of a standard electronic health care transaction by reducing friction, times to receivables, costs and staffing requirements, eliminating manual reconciliation, and providing automatic claims posting while adding a higher level of security.
Through the Zelis & Rectangle Health straight-through processing platform, providers can experience increased savings in processing time from 60% to 90%, freeing them to care for patients and consumers. This also allows staff to focus on higher-value tasks.
Yusuf Qasim, president of payments optimization at Zelis, said in the news release that straight-through processing, an automated process done by electronic transfers with no manual intervention involved, simplifies the insurance claim process and stands to transform the financial and accounting landscape for every health care organization.
By partnering with Rectangle Health, Zelis will transfer payments directly, matching claims and automating the process of settling health care consumers’ claims. The technology reduces overall processing time by two weeks and eliminates paper.
“This technology completes the revenue cycle by connecting insurance claims to the health care consumer record without intervention,” said Michael Peluso, Rectangle Health’s chief technology officer. “Our partnership with Zelis brings a solution to the industry that no one else offers and is for the betterment of every health care practice, staff and consumer by resolving lengthy administrative tasks and lack of connectivity while giving providers back time to deliver additional care to their patients.”
About Zelis
Zelis is modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 700 payers, including the top 5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, along with millions of healthcare providers and consumers. Zelis takes a holistic approach, identifying, optimizing, and solving problems across the system with technology built by healthcare experts, resulting in real, measurable results for clients.
About Rectangle Health
Rectangle Health equips healthcare practices with the technology and tools to attract and retain patients from digital registration to post-care billing. The company’s end-to-end customizable platform enhances the patient experience, reduces administrative burden, boosts financial stability, and simplifies healthcare and payment compliance. Since 1993, Rectangle Health has streamlined practice management workflows for tens of thousands of practices in the United States.
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